1606 71ST PL SE 2019-09-10 - Laserfiche WebLink

ELECTRICAL EMIT & FIRE ALARM PKM TPPLIC T t "IP* CITY EVE ETT PERMIT SERVICES -.' 3200 CEDAR STREET, EVERETT,WA:99281 • (P)425-257-8810 1 FAX 425,257-8857 1 (E).eueretteps@everettwa.gcwr I www,everettitra.gOviperrnits PROJECT ADDRESS:1606 71st P1 SE Everett 9820.3 PROJECT TYPE:fNEW CONSTRUCTION 0 ADDITION la ENANT IMPROVMENT [JREMODEI. BUILT INC-0SE: Et.FR 13 owNtiouse E..tJPLEX ®'' r U 13 ULT€hFAMILY-I/OF UNITS: CI. OMMERCIAL UILDNG AREA: sq ft -;;; ;t0,,,,,„ ..7, M''vC m A s''''' '''''''' *1marFz� v a CONTRACT PRICE OF`WORK $ \ sQC ASSOCIATED BUILDING PERMIT#(if applicable):, .IS THIS LOW VOLTAGE WOR ? ��,I.� ES-#OF DEVICES: IS THIS A FIRE ALARM PERMIT? t®i s Cl YES-Plans required for review(Both Electrical and Fire Department inspections are required) DESCRI�''" �1fif f 1� &� ' � 0 300 AN+ y,� a r 81 � 2,, aA DESCRIPTION OF WORK: Install Hot Tub CircUit. THIS'SECTION APPLIES TO ALL EDUCATION,INSITUTIQNAL,HEALTH AND/OR PERSONAL CARE FACILITIES: DBy checking this box,"am stating I have.read;and understand all of WAC 296-4613,900,selected the speciflccreas.on on page 2 of this application(see next page),AND Plan Review is NOT required because I meet all of the following sub sections"that do not See Page 2 require Plan Review. ATTENTION OWNERS:THIS SECTION IS FOR OWNERS PERFORMING WORK AS THE CONTRACTOR WITHOUT ELECTRI'GAL LICENSURE•. {13 Pursuant to RCW 19,29,261,property owners and leaseholders cannot perforin electrical work on buildings for rent,sale,or.leasewithout the proper electrical licensing and certification,or exemption.By checking this.box,I amstating that I have completed and signed the See Page 3 AFFIDAVIT on page 3 of this application to receive an exemption from this licensing/certification requirement. e �ZX r/, > t0 *0 l S xlv R �. aci OWNER NAME: Kim Melita TENANT BUSINESS NAME(If Commercial): OWNER MAILING ADDRESS: STREET 1606 71 St P SE cox r Everett sTATE WA zol 98203 OWNER PHONE: 425.381.3183 OWNER EMAIL: CONTRACTOR NAME:Brennan Heating and Air Conditioning CONTRACTOR ADDRESS: STREeT 4601 S. 134th PL say Seattle 5ATE WA98168 CONTRACTOR PHONE:206.248.7905 'CONTRACTOR EMAIL: I'T erced6 @brennan1Te.ating.Co, CONTRACTOR LIC,#{ SQUIRED):BRENNHA962DU CITY OF EVERETT BUSINESS LIC.#IREOUlRED): 028280 PRIMARY CONTACT: i:a a WNER •ONTRACTOR a OTHER(Please Specify) CONTACT NAME: CONTACT PHONE: 206;248.700 Mercedez Wilson CONTACT EMAIL: Mercede21 brennanheatina.00171 AB EMENT,.1 hereby certify that I have read and examined this application and know the same to he true and correct. All provisions of laws end ordinances governing this type of work will be completed whether specified herein or not. Thegranting of.a permit does not presume to give:authorllyto violatear const the provisions of any other state.or local law regulating construction.or the performance of construction. That lam authorized by the owner of this propenytdperform the worn for Which applicatlerrr.isamatfo end I comply wgh the State:.Contractors Lew 18.27 ROW and 296.200 W,kC City of Everett Official Use Only PERMIT#**Jr)'ma) Of , I) ( . cpr75"* 1(6" \51 - e)s) . O neriAufhorized AgentSignature ,ate (Revised'1013012018 w )